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Deliberate self-harm (and attempted suicide).

G Mustafa Soomro¹

¹Section of Community Psychiatry, St George's Hospital Medical School, London, UK.

BMJ Clinical Evidence

|May 19, 2009

Summary

This summary is machine-generated.

This systematic review examines treatments for deliberate self-harm in adults and adolescents. It found various interventions, including cognitive therapy and continuity of care, with evidence on their effectiveness and safety.

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Area of Science:

Psychiatry
Clinical Psychology
Public Health

Background:

Deliberate self-harm affects 3-5% of European and US populations, with increasing prevalence.
Risk factors include familial, biological, and psychosocial elements, disproportionately affecting women, young adults, and those with psychiatric disorders.

Purpose of the Study:

To systematically review the effects of treatments for deliberate self-harm in adolescents and adults.
To evaluate the effectiveness and safety of various interventions.

Main Methods:

Systematic review of 19 studies (reviews, RCTs, observational studies) up to October 2006.
Searched major databases (Medline, Embase, Cochrane Library) and included harms alerts.
GRADE evaluation of evidence quality for interventions.

Main Results:

Identified numerous interventions for deliberate self-harm.
Evaluated effectiveness and safety data for each intervention.

Conclusions:

Presents information on the effectiveness and safety of interventions including cognitive therapy, continuity of care, dialectical behavioral therapy, and psychodynamic interpersonal therapy.
Highlights a range of treatment options for deliberate self-harm.